Savar Upazila Health Complex | Health Bulletin 2014 |
Preface
This is the 3rd Local Health Bulletin of Savar Upazila. We are very happy to publish this Local Health Bulletin. Because this is the document of our work. By this Local Health Bulletin we can compare our achievement with all other upazila in Bangladesh. We can published this Local Health Bulletin-2013 by the direction of Prof. Dr. Abul Kalam Azad, who is the ADG (planning) and director of MIC. So it is the most important decision to make & publish this Local Health Bulletin. Every one should recorded his/her work. Local Health Bulletin is the record of the work in our upazila. To followw this Local Health Bulletin-2013, we explain our fed-back, we can modify our work plane for which we can achieve more to reach the goal. I hope by this bulletin all the 15,00,000 people of savar upazila know about health services of this Upazila Health Complex.
Savar Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the Upazila Savar
Name of UHFPO Dr. Md. Nazibur Rahman Khan
Telephone No. 07754764
FAX No. 0
Mobile No. 01711736841
Email savar@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 23.0818 And Long: 90.0100
No. of Unions in the Upazila 12
No. of Households in the Upazila 366,592
No. of Population in the Upazila 1,247,751
Area of Upazila in sq km 282.00
Savar Upazila Health Complex | Health Bulletin 2014 | Page# 2
Existing health facilities in the Upazila
Facility Type
Total (No.)
No. of Beds
No. of Upazila Health Complex
1
50
No. of Union Sub-Centres
2
0
No. of Union Health and Family Welfare Centres
8
0
No. of Rural/Urban/Thana Dispensaries
0
0
No. of Community Clinics
31
0
No of Trauma Centres
0
0
No. of MCWCs
0
0
No. of Chest Disease Clinics (TB clinics)
0
0
No. of Private Clinics/Facilities
78
750
No. of NGO Clinics/Facilities
0
0
Savar Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 26,981
Total No. of children treated under IMCI Program 42,593
Fully Vaccinated Children: 100.00
Neonatal Mortality Rate (January-December, 2013)
Neonatal Mortality Rate (NMR) is 5.60 per 1,000 live births.
Savar Upazila Health Complex | Health Bulletin 2014 | Page# 4
Legends
R.P.W-
Registered Pregnanat Woman
1st ANC-
No. of 1st ANC recipients
R.P.W-
No. of 4th ANC recipients
C. Preg-
No. of complicated pregnancies
N. deli-
No. of normal deliveries
V. deli-
No. of vaginal deliveries
C. deli-
No. of cesarean deliveries
PNC-
No. of PNC services provided to mother in the Upazila
Maternal health and MDG-5 (No.) (January-December, 2013)
All ANC Receiptients: 920
Total Number of Deliveries: 34956
No. of Maternal Death: 57
Valid TT Coverage: 80.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
Maternal Mortality Ratio (MMR) is
211.26 per 100,000 live births.
Savar Upazila Health Complex | Health Bulletin 2014 | Page# 5
No. of OPD & Emergency visits & Deaths at UHC
Health Facility
OPD
Emergency
T (M+F)
M
F
Child (U-5)
T (M+F)
M
F
Child (U-5)
Upazila Health Complex
73,215
34,145
39,070
22,558
6,637
4,004
2,633
554
Union Sub-Centres
23,472
9,344
14,128
5,848
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
161,847
19,324
142,523
44,832
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
205,866
60,324
145,542
44,196
0
0
0
0
Trauma Centres
0
0
0
0
0
0
0
0
MCWCs
0
0
0
0
0
0
0
0
Chest Disease Clinics (TB clinics)
0
0
0
0
0
0
0
0
Private Clinics/Facilities
187,760
89,325
98,435
46,940
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
839,920
212,462
439,698
164,374
6,637
4,004
2,633
554
No. of Admissions & Deaths at UHC
Health Facility
Admission
Death
T (M+F)
M
F
Child (U-5)
T (M+F)
M
F
Child (U-5)
Upazila Health Complex
3,986
1,512
2,474
419
8
4
4
0
Union Sub-Centres
0
0
0
0
0
0
0
0
Union Health and Family Welfare Centre (under DGHS)
0
0
0
0
0
0
0
0
Rural/Urban/Thana Dispensaries
0
0
0
0
0
0
0
0
Community Clinics
0
0
0
0
0
0
0
0
Trauma Centres
0
0
0
0
0
0
0
0
MCWCs
0
0
0
0
0
0
0
0
Chest Disease Clinics (TB clinics)
0
0
0
0
0
0
0
0
Private Clinics/Facilities
0
0
0
0
0
0
0
0
NGO Clinics/Facilities
0
0
0
0
0
0
0
0
Total
3,986
1,512
2,474
419
8
4
4
0
Savar Upazila Health Complex | Health Bulletin 2014 | Page# 6
Top 10 diseases according to the number of patients admitted in the UHC during the reporting period
Total number of admitted patients during the reporting period
3684
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
Y09 Assault by unspecified means
525
14.25
2
A99 Unspecified viral haemorrhagic fever
376
10.21
3
A090 Other and unspecified gastroenteritis and colitis of infectious origin
334
9.07
4
J459 Asthma, unspecified
284
7.71
5
K255 Gastric ulcer, chronic or unspecified with perforation
282
7.65
6
D649 Anaemia, unspecified
167
4.53
7
T600 Organophosphate and carbamate insecticides
118
3.20
8
J189 Pneumonia, unspecified
83
2.25
9
N390 Urinary tract infection, site not specified
67
1.82
10
O03 Spontaneous abortion
66
1.79
Savar Upazila Health Complex | Health Bulletin 2014 | Page# 7
Top 10 diseases according to the number of deaths among admitted patients in the UHC during the reporting period
Total number of Deaths during the reporting period
10
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1
J45 Asthma
2
20.00
2
R40 Somnolence, stupor and coma
1
10.00
3
Y730 Gastroenterology and urology devices associated with adverse incidents, diagnostic and monitoring devices
1
10.00
4
V87 Traffic accident of specified type but victim's mode of transport unknown
1
10.00
5
A15 Respiratory tuberculosis, bacteriologically and histologically confirmed
1
10.00
6
T60 Toxic effect of pesticides
1
10.00
7
I46 Cardiac arrest
1
10.00
8
0
0.00
9
0
0.00
10
0
0.00
Savar Upazila Health Complex | Health Bulletin 2014 | Page# 8
Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%)
99.00
Coverage of households having access to sanitary latrines (%)
99.00
Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.)
11,998
Bed Occupancy Rates (%)
65.74
Average Length of Hospital Stay (No. of days per patient)
3.02
Hospital Death Rate (%)
0.20
Savar Upazila Health Complex | Health Bulletin 2014 | Page# 9
Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries
72
Minor Surgeries
95
Savar Upazila Health Complex | Health Bulletin 2014 | Page# 10
Status of Human Resources (Class wise)
Class
Sanctioned
Filled-up
Vacant
Vacancy %
M
F
UHC
Class I
Doctor
21
11
10
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
17
1
16
0
0.00
Class III
108
57
41
10
9.26
Class IV
23
12
10
1
4.35
Union Health & Family Welfare Center (under DGHS)
Class I
Doctor
11
4
7
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
13
9
4
0
0.00
Class IV
2
1
1
0
0.00
Rural Dispensaries
Class I
Doctor
0
0
0
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
0
0
0
0
0.00
Class IV
0
0
0
0
0.00
Community Clinics
Class I
Doctor
0
0
0
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
39
14
23
2
5.13
Class IV
0
0
0
0
0.00
Savar Upazila Health Complex | Health Bulletin 2014 | Page# 11
Status of Human Resources (Class wise)
Class
Sanctioned (No.)
Filled-up (No.)
Vacant (No.)
Vacancy %
M
F
Upazila Total
Class I
Doctor
32
15
17
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
17
1
16
0
0.00
Class III
160
80
68
12
7.50
Class IV
25
13
11
1
4.00
Other Hospitals & Clinics
Class I
Doctor
0
0
0
0
0.00
Non Doctor
0
0
0
0
0.00
Class II
0
0
0
0
0.00
Class III
0
0
0
0
0.00
Class IV
0
0
0
0
0.00
Savar Upazila Health Complex | Health Bulletin 2014 | Page# 12
Status of Human Resources (No.) (Category wise)
Manpower
Community Clinic
USC/UHFWC/RD
UHC
Others
IMCI trained
Basic EOC trained
Sanctioned
Filled-up
Sanctioned
Filled-up
Sanctioned
Filled-up
Sanctioned
Filled-up
Physician
0
0
11
11
21
21
0
0
2
5
Nurse
0
0
0
0
17
17
0
0
5
5
Medical Assistant
0
0
11
11
2
2
0
0
0
0
Medical Technologist
0
0
0
0
7
7
0
0
0
0
CHCP
39
37
0
0
0
0
0
0
0
0
HI
0
0
0
0
4
4
0
0
0
0
AHI
0
0
0
0
12
12
0
0
0
0
HA
0
0
0
0
59
59
0
0
0
0
CSBA trained***
0
0
0
0
0
0
0
0
0
0
Savar Upazila Health Complex | Health Bulletin 2014 | Page# 13
Existing equipments at UHC
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
Radiology equipment
X-ray machine (100 mA)
1
1
0
0
0
X-ray machine (300 mA)
0
0
0
0
0
X-ray machine (500 mA)
0
0
0
0
0
X-ray machine (digital)
0
0
0
0
0
X-ray machine (portable)
0
0
0
0
0
Dental X-ray unit
0
0
0
0
0
Spiral CT Scan
0
0
0
0
0
C-arm
0
0
0
0
0
Mamogram machine
0
0
0
0
0
Dehumidifier
0
0
0
0
0
MRI machine
0
0
0
0
0
Ultrasonogram machine
0
0
0
0
0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator
0
0
0
0
0
Anesthesia machine without ventilator
2
1
0
1
0
Autoclave
1
1
0
0
0
Electric cautery machine
1
1
0
0
0
Diathermy machine
0
0
0
0
0
Operating microscope
0
0
0
0
0
Ceiling mounting OT Light
1
0
1
0
0
Portable OT Light
1
0
1
0
0
Fracture table
0
0
0
0
0
Hydrolic OT Table
2
0
2
0
0
Sterilizer
1
0
1
0
0
Sucker machine (electric)
1
0
1
0
0
Ventilator
1
0
0
1
0
Savar Upazila Health Complex | Health Bulletin 2014 | Page# 14
Existing equipments at UHC
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
Cardiology equipment
Coronary angiogram machine
0
0
0
0
0
Debrililator
0
0
0
0
0
ECG machine
0
0
0
0
0
Ecocardiogram machine
0
0
0
0
0
Cardiac monitor
0
0
0
0
0
Holter monitor
0
0
0
0
0
Nebulizer machine
8
2
0
6
0
Pulse oximeter
0
0
0
0
0
Dental equipment
Dental unit
2
2
0
0
0
Gastroeneterology equipment
Endoscopy machine
0
0
0
0
0
Laparoscopic machine
0
0
0
0
0
Savar Upazila Health Complex | Health Bulletin 2014 | Page# 15
Existing equipments at UHC
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
Lab equipment
Biochemical auto-analyzer
0
0
0
0
0
Centrifuge machine (electric)
2
1
0
1
0
Colorimeter
2
1
0
1
0
Electrolyte analyzer
1
1
0
0
0
ELISA machine
0
0
0
0
0
Gas analyzer
0
0
0
0
0
Hormone analyzer
0
0
0
0
0
Blood cell counter
0
0
0
0
0
Microscope (binocular)
2
1
0
1
0
Obstetric equipment
Fetal Monitor
0
0
0
0
0
Ophthalmic equipment
FACO machine
0
0
0
0
0
Retinoscope
0
0
0
0
0
Pediatric equipment
Baby incubator
2
1
0
1
0
Phototherapy unit
0
0
0
0
0
Savar Upazila Health Complex | Health Bulletin 2014 | Page# 16
Existing equipments at UHC
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
Blood bank equipment
Blood bank centrifuge
0
0
0
0
0
Laminar flow hood
0
0
0
0
0
pH meter
0
0
0
0
0
Hemoglobin photometer
0
0
0
0
0
Blood bank refrigerator
0
0
0
0
0
Blood plasma seperating machine
0
0
0
0
0
Platelet seperating machine
0
0
0
0
0
Deep freeze (plasma)
0
0
0
0
0
Deep freeze (RBC)
0
0
0
0
0
Refrigerator
0
0
0
0
0
Psichiatry equipment
ECT machine
0
0
0
0
0
EEG machine
0
0
0
0
0
Urology equipment
Cystoscopic machine
0
0
0
0
0
Vehicles
Ambulance
3
1
1
1
0
Bus
0
0
0
0
0
Jeep
0
0
0
0
0
Microbus
0
0
0
0
0
Pickup
0
0
0
0
0
Savar Upazila Health Complex | Health Bulletin 2014 | Page# 17
Existing equipments at UHC
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
Air conditioner
Air conditioner (split type)
0
0
0
0
0
Air conditioner (window)
8
7
0
0
1
Generator
Generator (diesel/petrol)
1
0
1
0
0
Generator (gas)
0
0
0
0
0
Solar panel
0
0
0
0
0
IPS
0
0
0
0
0
ICT equipment
Computer (desktop)
8
2
0
1
5
Laptop
1
0
1
0
0
Printer (dot matrix)
0
0
0
0
0
Printer (inkjet)
1
0
0
1
0
Printer (laser)
6
2
1
0
3
Scanner
1
1
0
0
0
UPS
6
1
0
0
5
Fax
0
0
0
0
0
Intercom
0
0
0
0
0
Internet fixed line
0
0
0
0
0
Internet wireless line
1
1
0
0
0
Multimedia
1
1
0
0
0
Savar Upazila Health Complex | Health Bulletin 2014 | Page# 18
Existing equipments at UHC
Equipment
Total (No.)
Functional (No.)
Non-functional
Not Installed (No.)
Repairable (No.)
Non-repairable (No.)
OHP
PA system (Sound)
0
0
0
0
0
Land phone
0
0
0
0
0
Mobile phone
0
0
0
0
0
Photocopier machine
0
0
0
0
0
Digital camera
0
0
0
0
0
Video camera
0
0
0
0
0
Total
68
29
10
15
14
Savar Upazila Health Complex | Health Bulletin 2014 | Page# 19
Important information and necessary issues for Savar Upazila Health Complex |